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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0528359
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Last modified
5/8/2020 3:20:07 PM
Creation date
5/8/2020 2:48:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0528359
PE
2950
FACILITY_ID
FA0019146
FACILITY_NAME
SHELL OIL PRODUCTS US
STREET_NUMBER
3725
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95304
APN
21217030
CURRENT_STATUS
02
SITE_LOCATION
3725 N TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SECTION E:ASBESTOS <br /> Indicate containment for asbestos: <br /> ❑ bags ❑ cartons ❑ drums ❑ wrapping' <br /> ❑ other. <br /> NOTE: All asbestos must be prepared for transportation to and disposal at the Forward Landfill in accordance with all <br /> applicable regulatory requirements. <br /> SECTION F.SHIPPING INFORMATION Gi a%Aj I% <br /> Method: ❑ Bulk Liquid Bulk Solid ❑ Containerized(type): iJr <br /> Quantity. K0 'In R nn / cubic yards ❑ gallons <br /> per ❑ month 13 year �ne time only ❑ other <br /> NOTE.All shipments must be approved by the Forward,Inc.Environmental Campllance Officer prior to delivery. <br /> SECTION G: CERTIFICATION/INDEMNI'FICATION STATEMENT <br /> 5 <br /> THE BELOW-NAME COMPANY WARRANTS THAT THE ABOVE AND ANY ATTACHED OR SUBMITTED WASTE <br /> CHARACTERIZATION IS COMPLETE AND ACCURATE AND THAT BASED UPON TESTING AND ANALYSIS PERFORMED <br /> ON THE WASTE MATERIALS.NONE OFTHE WASTE MATERIALS ARE HAZARDOUSAS DEFINED BY 40 CFR PART261 AND <br /> THE CALIFORNIA CODE OF REGULATIONS. TITLE 22, WITH THE EXCEPTION OF ASBESTOS WHICH IS PROPERLY <br /> DESCRIBED IN SECTIONS E AND FABOVE.IN THE EVENTTHAT ANY PORTION OF THE WASTE MATERIALS(OTHER THAN <br /> ASBESTOS PROPERLY DESCRIBED IN SECTIONS EAND FABOVE)IS DETERMINEDTO BE HAZARDOUS("HAZARDOUS <br /> MATERIALS") ACCORDING TO ANY OF THE ABOVE MENTIONED REGULATIONS, EACH PARTY SHALL NOTIFY THE <br /> OTHER IN WRfTING IMMEDIATELY UPON LEARNING OF SUCH DETERMINATION. THE BELOW-NAMED COMPANY } <br /> SHALL WITHIN TEN (10) DAYS AFTEMPECEIVING SUCH WRITTEN NOTIFICATION REGARDING A HAZARDOUS <br /> DETERMINATION.AND AT THE BELOW-NAMED COMPANY'S SOLE EXPENSE.REMOVE THE HAZARDOUS MATERIALS <br /> FROM THE FORWARD LANDFILL AND PROPERLY DISPOSE OF THEM ELSEWHERE. THE BELOW-NAMED COMPANY <br /> WARRANTS THAT ANY ASBESTOS DELNERED TO THE FORWARD LANDFILL HAS BEEN PROPERLY DESCRIBED IN <br /> SECTIONS E AND F ABOVE AND HAS BEEN PREPARED FOR TRANSPORTATION TO AND DISPOSAL AT THE FORWARD <br /> LANDFILL IN FULL COMPLIANCE WITH APPLICABLE REGULATORY REQUIREMENTS. <br /> l <br /> THE BELOW-NAMED COMPANY SHALL'DEFEND,INDEMNIFY AND SAVE HARMLESS FORWARD.INC..ITS AFFILIATES, <br /> THEIR OFFICERS.DIRECTORS,AGENTS,REPRESENTATIVES AND EMPLOYEES AND THEIR SUCCESSORS AND ASSIGNS <br /> FROM ANY LIABILITY,CLAIMS,LOSSES,DAMAGES,COSTS,LIENS.JUDGMENTS,ORDERS.GOVERNMENT DIRECTIVES, <br /> OR EXPENSES OF ANY KIND IN CONNECTION WITH THE HAZARDOUS MATERIALS AND IN CONNECTION WITH ANY <br /> 4 <br /> BREACH OF THE BELOW-NAMED COMPANY'S WARRANTIES GIVEN OR THE BELOW-NAMED COMPANY'S <br /> OBLIGATIONS UNDERTAKEN HEREIN. i <br /> 5 <br /> THE BELOW-NAMED COMPANY AGREES THAT,IN THE EVENT THAT IT LEARNS THAT THE WASTE CONST]TUENTS VARY <br /> FROM THOSE SET FORTH ABOVE OR ON ANY ATTACHED OR SUBMITTED DOCUMEWS,(TWILL IMMEDIATELY SUBMIT <br /> CORRECTED WASTE CHARACTERIZATION FORM. E <br /> 4 <br /> COMPANY: <br /> BY: (p(int name): TITLE: i <br /> i <br /> SIGNATURE; ii__ [ D}ATE: ( i <br /> S i G3' Vv GS C V'.(: C �e�, e?[i;11�n �U.�i..� Vel �f Ir �u. I fT <br /> n <br /> 1- p i <br /> }e:ti1 '� �r„k lice l,, ll �i? :},.����,<�y�� f11v""u , <br />
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